TONYA RENEE WALLACE

DECATUR, GA
NPI1730563982
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN161712)
Enumeration Date2015-07-17
Last Update Date2015-07-17
Business Address
-- TONYA RENEE WALLACE FNP
2701 N DECATUR RD
DECATUR, GA 30033-5918
Phone number: 404-501-1000
Mailing Address
-- TONYA RENEE WALLACE FNP
189 EDISON DRIVE
STOCKBRIDGE, GA 30281-2761
Phone number: 678-471-9400
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